Healthcare Provider Details

I. General information

NPI: 1912810763
Provider Name (Legal Business Name): YANIRA ESMERALDA TURGEON LMT,MLD-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N TENNESSEE ST STE 212
CARTERSVILLE GA
30120-8528
US

IV. Provider business mailing address

PO BOX 373
CASSVILLE GA
30123-0373
US

V. Phone/Fax

Practice location:
  • Phone: 470-227-1669
  • Fax: 305-890-2721
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT015918
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: